Med Surg 1 HESI Final

2. A nurse planning care for a client who has undergone transurethral resection of the prostate (TURP) remembers that the most common cause of postoperative pain is which factor?

A.) Bladder spasms B.) Bleeding within the bladder C.) The location of the incision D.) Tension on the Foley catheter Answer: A

1. A nurse is visiting a client who is receiving home health care, focusing on medication and dietary instructions and management of heart failure. The nurse should reinforce which instruction?

A.) If you feel tired and short of breath, lie down flat and prop up your feet B.) Eating liver several times a week will help build up your strength. C.) Your daily dose of furosemide should be taken first thing in the morning. D.) The dose of enalapril will help prevent vasodilation from occurring Answer: C

3. A nurse assessing the skin of a client who is immobile notes this change in appearance of the skin in the sacral area: The nurse documents this finding in which way?

A.) Stage I pressure ulcer B.) Stage II pressure ulcer C.) Stage III pressure ulcer D.) Stage IV pressure ulcer Answer: A